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enlargement of

Iam suresh,age 50yrs,suffering from rheumatic heart disease.undergone

open heart surgery for mitral valve replacement and tricuspid valvotomy

in the year 1992 and i was all right with 5.5cm Left atrium up to

December2007and the LV EF was60%.After 2 months i become very

weekandlossed more than 10 kg wt2D echo showed LA size as 5.9 and LV EF

as35%,prosthetic valve funcctiong well.After taking treatment I was all

right with 60% LV Efand improved wt to 62kg.surprisingly since 15days

iam getting week.On doing 2D Echo,the LA size is6.9cm  n LV EF is 60%

and the NT-proBnp is 79.1.

     Iam taking tab cordorone-100mg once daily,                      

tab Eptus(epleronone)-25mg oncedaily,dytor-10mg,acetrome-3mg,  

Lanoxine-.25mg(1/2tab),metoprolol succinate-50mg(morning),25mg(bed

time).
      Question is why the LA becoming such a large size,is there any

chances of heart failure with this enlargement.Is there any surgery or

any procedure to reduce the size of Lv size.Is it a reason for getting

week n weight loss.
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